A client is being evaluated for environmental allergies. While examining the client's nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Snoring and bilateral, pale gray nodules.

Intranasal edema and swelling of turbinates.

Purulent secretions from eyes and nares.

Eye tearing and thick yellow nasal drainage.

Answer and Explanation

The Correct Answer is B

A. Snoring and bilateral, pale gray nodules. This suggests the presence of nasal polyps, which can be associated with chronic allergic conditions but not specific to allergic rhinitis.

B. Intranasal edema and swelling of turbinates. This is the best choice as it directly describes physical signs commonly seen in allergic rhinitis, indicating inflammation and swelling due to allergen exposure.

C. Purulent secretions from eyes and nares. This suggests an infection rather than an allergic reaction. Allergic rhinitis typically causes clear, watery secretions.

D. Eye tearing and thick yellow nasal drainage. Thick yellow nasal drainage is more indicative of a bacterial infection rather than allergic rhinitis, which causes clear secretions.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Begin to orient the client to her surroundings in the hospital room. Orienting the client is important but does not address the immediate issue of possible hearing loss, which might be causing the client's behavior.

B. Stand directly in front of the client and ask about any hearing loss. This is the best choice because it addresses the possible reason for the client's behavior directly. Standing in front of the client helps ensure she can see and hear the nurse clearly.

C. Obtain a tuning fork to complete Rinne and Weber tuning fork tests. These tests are useful for diagnosing hearing loss but are not the first step. Initial assessment should involve direct communication to identify the issue.

D. Perform a mental status exam to assess the client's thought processes. While assessing mental status is important, it does not address the immediate observation that the client may have hearing loss.

A. Presents with a hacking nonproductive cough of 6 weeks duration. B. An adult male presents with fears that he has "lung cancer." C. Expresses concern of "lung cancer" symptoms for last 6 weeks. D. Describes having a "body wracking dry cough" of 6 weeks duration.

Correct Answer is D

Explanation

A. Presents with a hacking non-productive cough of 6 weeks duration.While nonproductiveis a clinical term for a dry cough, the term hackingis a subjective interpretation by the nurse. Documentation should reflect what the client said, rather than the nurse's paraphrase, to ensure the most accurate clinical picture.

B. An adult male presents with fears that he has "lung cancer." This focuses on the client's fear rather than the symptom.

C. Expresses concern of "lung cancer" symptoms for last 6 weeks. This mixes subjective concerns with symptoms, making it less clear.

D. Describes having a "body wracking dry cough" of 6 weeks duration.This is the most professional and accurate entry. It uses quotation marks to capture the client's exact description ("body wracking dry cough"), which provides insight into the severity and nature of the cough. It also includes the specific duration (6 weeks), which is a critical piece of data for the provider.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is being evaluated for environmental allergies. While examining the client's nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While interviewing a newly admitted older female client, the nurse observes that the client ignores questions asked by the nurse, and speaks loudly to her son who brought her to the hospital. Which action should the nurse implement first?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take?

While completing an admission assessment, the nurse is unable to palpate the client's left dorsalis pedis (DP) pulse. Which intervention is most important for the nurse to implement?

When inspecting the client's skin, the nurse observes several areas of ecchymosis on the trunk and extremities. Which information in the client's history requires additional follow-up by the nurse?

After placing a client in a supine position, the nurse uses the diaphragm of the stethoscope to auscultate bowel sounds and hears a loud, high pitched almost continuous gurgling in two quadrants. Which action should the nurse implement?

An adult client exhibits an allergic reaction to an insect bite. The nurse should observe the client's skin for which finding?

While auscultating a client's abdomen, the nurse hears a low-pitched blowing sound in the upper midline area. Which is the likely indication of this finding?

The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation, but reports pain when the pressure is released. Which action should the nurse implement?

While auscultating a client's breath sounds, the nurse hears vesicular sounds in the bases of both lungs posteriorly. Which action should the nurse take in response to this finding?